Blank for notes, drafts, &amp;c.



PATBNTED JULY 30, 1907.

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J@ W. COMER. BLANK FOR NOTES, DRAFTS, dw.

APPLIOATIN FILED PEB. 16, 1907.

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PATENTLD JULY 30, 1907.

J. W. COMER. BLANK FOB. NOTES, DRAFTS, &o.

APPLICATION FILED FEB. 16, 1907.

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'UNITED STATES PATENT Ormea.

JOHN W. COMER3 OF OIIIOKASHA, INDIAN TERRITORY. l

BLANK FOR NOTES, DRAFTS, ae.

Specification of Letters Patent.

Patented July 30, 1907.

Application filed February 16,1907. Serial No. 357,731.

l9, Indian Territory, have invented new and useful Improvements in Blanks for Notes, Drafts, and the Like, of which the following is a specification.

This inventionrolates to blanks for business forms l such as notes, drafts and the like, and it has for its object to combine in asingle blank, in a simple, efficient and convenient manner, the customary business forms i'or a note, draft or similar instrument, and forms of notices to be sent out at various times to the maker, and, if necessary, to the indorser of the note, draft or other instrument; said notices being adapted to be filled out at the time of the making or signing of the instrument, to be subsequently detached and mailed or otherwise forwarded to the proper parties.

A further object of the invention is to so construct the improved blank that the notices that are to be successively detached and sent may be conveniently folded upon the body of the note or instrument so that the latter will not occupy excessive space.

A further object of the invention is to provide a construction whereby the dates of the notices next due to be sont out shall be exposed through apertures in the body of the instrument so that said dates will `be plainly visible at all times without necessity of unfolding the notices.

A further Object is to provide the blank with a gummed flap or edge whereby it may be secured, when folded in such a manner that all but two of the notices may be detached without-unsealing the document. 4

With these and other ends in view which will readily appear as the nature of the invention is better understood, the same consists in the improved' construction and novel arrangement of the said blank which will be hereinafter fully described and particularly pointed out in the claims.

-In the accompanying drawings has been illustrated a simple and preferred form of the invention; it being, however, understood that no limitation is necessarily made to the precise structural details therein exhibited, but that changes, alterations and modifications within the scope of the invention may be resorted to when desired.

In the drawing, Figure l is a plan view or face view of the improved blank which constitutes the present invention. Fig. 2 is a plan view of the rear or opposite side of said blank. Fig. 3 is a'longitudinal sectional view showing the blank, folded. Fig. 4 is a transverse sectional view showing the blank folded.

Corresponding parts in the several figures are denoted by like characters of reference.

The improved blank consists of a sheet A provided at one edge with a narrow marginal flap ll disposed intermediate the ends thereof. The sheet Ais provided at the ends thereof with longitudinal incisions ceeding one-fourth of the total length of the sheet; the incisions 12-12 have been shown provided with tei'- minal enlargements 1'3-13 between which extends a line or crease 14 upon whichrthe sheet may be folded that are separated by the incisions lf2-l2 form terminal flaps l, 2, 3 and 4 which are separated from the adjacent portions of the blank by lines or creases l5 extending from the enlarged terminal ends I3 of the incisions l2 to the edges of the sheet; that portion of the sheet which has the marginal flap ll is also provided with a centrally disposed line or crease 16 extending between said marginal iiap and the longituof the sheet into two halves 5 and 6, which may be readily separated from each other upon the central line or crease I6 and from the adjacent portion of the sheet upon the line or crease 14.

Upon that portion of the sheet which is'included between the fiaps l and 3 and the line or crease 14, said portion being designated 7, is imprinted a suitable form of a note, draft, or other instrument, which said form may be varied to any desired extent; upon' the face of said instrument is also imprinted a schedule of months, as showri at 8, to be filled out with the dates at which due notices of the instrument are to be forwarded; also a schedule 9 of credits and a schedule l0 of payments of interest to be subsequently filled out. Each of the flaps numbered from l to 6 inclusive is to be imprinted on one side with a suitable form of due notice and upon the opposite side with an address blank as indicated in the drawings, respectively, at 17 and 18, the printed matter being arranged in such a manner that the faces of the flaps l to 6 inclusive having the due notices im printed thereon may be folded against the back of the portion 7 of the sheet upon the face of which the form of the note, draft or other instrument is imprinted.

In the portion 7 of the sheet there are formed two slots i9 and 20 which are so located as to be in registry with the portions of the fiaps l to 6 inclusive, upon which the date at which payment is due is filled out or inscribed, so that said dates will be plainly visible through said slots; said dates may, if desired, be iilled out by writing through the said slots, after the fiaps have been successively folded, so as to insure proper registry.

When the note, draft or other instrument is filled out and signed, the`due notices connected therewith are at the same time filled out and addressed; the iiaps l, 2, 3 and 4 are then folded upon the body of the sheet, on the crease lines l5 and the body of the sheet is folded 12-12 each of which may be of a length slightly ex lengthwise. The parts of the two halves of the sheetV dinal line or crease lll, and dividing the flanged portion o upon the longitudinal crease line 14 after which the narrow marginal iiap ll, which is preferably provided with a coating 20 of gum or mucilage may be folded and secured upon the back of the portion 7 oi the sheet upon urnent or instrument, when thus folded, are not secured, and the iiaps l, 2, 3 and i may thus be successively withdrawn and detached, without unsealing the flap ll, and the document will thus be kept in good shape and without danger oi being torn or otherwise injured by ordinary handling. The date oi the next payment due will always be plainly visible through one of the slots 19 or 20 without necessity of unfolding the paper.

This improved blank will be found extremely convenient and of great service in the transaction of banking and similar business; it may be prepared at a moderate expense, and it is thoroughly efficient for the purposes for which it is provided.

Having thus fully described the invention, what l claim as new is:-

l. A sheet or blank having a form ror a note, draft or similar instrument imprinted upon a portion of its face, and having longitudinal incisions extending from its ends toward each other forming ilaps upon which forms of due notices are imprinted.

2. A sheet or blank having incisions extending from the ends thereof, intermediate the upper and lower edges, and forming flaps, a portion of the body of the sheet having a form of a note, draft or similar instrument imprinted thereon and the remaining portion of the sheetandthe flaps having forms of due notices imprinted thereon.

3. A sheet or blank of the character described, having longitudinal incisions extending from the ends thereof intermediate the edges and forming flaps, the body of the sheet intermediate the iiaps beingl provided with a central longitudinal crease 'extending between the inner ends of the longitudinal incisions; 011e edge of the sheet being provided with a narrow marginal flap extending between the end naps, and the portion of the sheet having the marginal flap being provided with a central transverse crease extending from said 1narginal flap to the central longitudinal crease.

4. A sheet or blank of the character described, having longitudinal incisions extending from the ends thereof intermediate the edges and forming flaps; the portion of the sheet intermediate of said flaps being provided with a'ccntral longitudinal crease or line and with a narrow marginal flap at one edge thereof and the portion of the sheet bounded by the end flaps and the central longitudinal line or crease being provided with suitably disposed slots and having a form of note, draft o1r similar instru ment imprinted upon the face thereof; the naps and the portion of the body of the sheet bounded by the central longitudinal line or crease, the end iiaps and the narrow marginal flap having imprinted, on opposite sides thereof, forms of due notices and address forms or blanks.

5. A sheet or blank of the character described, having longitudinal incisions extending from the ends thereof and forming iiaps, said sheet being provided at one edge with a gummed marginal flap extending between the end flaps;

the body oi' the sheet being provided with slots through which other-.portions of the sheet or the flaps will be exposed to 'view when the sheet is properly folded and securedi l In testimony whereof, I aiiix my signature in presence of two witnesses.

A. W. GILLILAND, G. E. Ross. 

